Krzysztof Gwizdak Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

10078T Issued in CA

Legal business name

KRZYSZTOF GWIZDAK INC

Practice address

328 Redondo Ave
Long Beach, CA 90814-2651

Phone

(562) 439-0486

Fax

(562) 987-3596

NPI assigned

Dec 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Krzysztof Gwizdak, O.D.

Title

Owner

Phone

(562) 439-0486

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Seaview Optometric Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1699140558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142651",
            "telephone_number": "562-439-0486",
            "fax_number": "562-987-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142651",
            "telephone_number": "562-439-0486",
            "fax_number": "562-987-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRZYSZTOF GWIZDAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "GWIZDAK",
        "authorized_official_first_name": "KRZYSZTOF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-439-0486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10078T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0100780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaview Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josephine Jane Kruchko, LCSW
• James Jerome Krueger, M.D.
• Jillian Krueger
• Aaron Berro Krugman
• Kathleen Krupinski
• KS Healthcare
• Kristi Kubiak
• Stephanie Lee Kubicek, MS, PPS
• Christina Kubojiri, MA
• Chasen J Kubota, NP

• Optometrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.